Chapter 309: Is it free to see a doctor abroad
When a patient goes to the hospital, it costs money, which is the same all over the world, and the medical expenses abroad are even more expensive.
Some people will say that you fart, foreigners don't spend money to see a doctor, and they won't go back to poverty due to illness, it's because you Chinese doctors are too black-hearted and don't save you when you die.
This is actually a misunderstanding.
The common people of the United States don't spend money to see a doctor?
To give a few examples, the American imperialist patient has the number of a community doctor, dozens of US dollars; If you want to hang a specialist's number a little better, a few hundred dollars a number.
Is it expensive?
It's not that expensive, you go and take a regular X-ray, a thousand dollars;
You said that you had an uncomfortable cough, and the doctor gave you auscultation, and the medicine was not prescribed, and when the bill arrived, it was thousands of dollars.
Another example is that a child has a dislocated body.
This is a very common problem in China, go to the hospital to find an orthopedic doctor, if you are lucky, you may not pay a penny, and if you are unlucky, you will pay a registration fee, dozens of yuan to solve.
In the United States, if a child is dislocated, you don't even want to leave without $10,000 or 20,000, and when you receive the bill, you can vomit blood directly.
There is also the simplest appendicitis, which is very common to charge you tens of thousands of dollars.
Here's another example:
Call a 120 ambulance in China, and the fee of 1200 is too expensive for everyone, and I think this should be free and public.
But if the United States imperialists call you a 911 ambulance, the average cost is about 1,200 US dollars, and a little farther is 3,000 US dollars, just ask you if you are convinced?
Many domestic students who have just gone to the United States and faint on the street will say "don't call 911" because they can't afford it.
As for the more serious diseases, such as the "big-bellied" Mrs. Jin mentioned above, multi-department combined abdominal giant tumor resection, and radical ovarian cancer resection, you can't get it without more than 100,000 or 200,000 US dollars.
If you have any radiotherapy or chemotherapy in the future, the whole treatment process will be at least more than 300,000 US dollars.
In China, it is estimated that the patient's family will soon call the reporter to blow up the news and go to "Focus Interview", what kind of black-hearted hospital collects black-hearted money.
Of course, in China, it is entirely possible to "return to poverty due to illness".
Some readers will say, according to you, where can the American imperialists afford so much medical expenses? Is it because the American imperialists are too rich, or are the American imperialist doctors merciful and do not take money?
That's because people have universal medical insurance, most of which are paid by insurance companies, and patients only need to come up with a small amount of money.
(Some people don't have health insurance, they are either black households, or they don't have a job, but you don't have a job to apply for charity benefits, provided that you will be restricted from spending high)
In addition, in almost all countries of the world, children and people over 65 years of age do not cost money to see a doctor, either the state pays for it, or health insurance, which is a matter of principle.
The point is that all medical expenses have nothing to do with hospitals and doctors.
The doctor's vocation is to only see the patient, their purpose is to cure your disease, as for the cost of the doctor, how you should pay the patient, is your patient's business.
Of course, whether it is reimbursed by insurance or borne by state welfare afterwards is another matter, anyway, it is impossible for the patient to pay so much money.
This also creates a false impression for Chinese people that foreign hospitals do not cost money to see patients.
Okay, the US imperialism is too far away, so let me give you a closer example, my country's Xiangjiang, they are a representative of the welfare system.
Citizens in Hong Kong receive 180 yuan per consultation in the emergency department, 100 yuan per day in hospitalization, and 50 yuan per consultation in the general outpatient department.
Other than that, there is no additional fee.
In other words, no matter what kind of illness you have, if you are hospitalized for 10 days, you only need to pay 1,000 Hong Kong dollars when you are discharged, which is equivalent to a few hundred yuan in RMB.
Some people in China will scold again, look at the hospitals in Xiangjiang, look at the doctors in Xiangjiang, how medical ethics they have, and the treatment is so cheap, and then compare them with the hospitals in your country, it is simply dark.
Please, think about it with your head, could it be that simple?
That's because their medical expenses are borne by the medical insurance fund led by the Xiangjiang government, and his patients can't pay for it, and someone pays for you.
The point is again, you spend money to see a doctor, all of this has nothing to do with hospitals and doctors, this is a matter of the medical insurance center.
Doctors' visits, various examination fees, medicine fees, surgery fees, etc., are all billed as usual, and the fees are high.
With so many examples, in fact, there is only one central idea: it costs money to see a doctor, and the difference is who pays for you.
Unbelief? I don't believe you, a mainlander went to Xiangjiang to try to treat his illness at his own expense.
The consultation fee of a general practitioner is generally around HK$600-1000, and the fee for a specialist will be higher, usually more than HK$1000.
Ordinary B-ultrasound is usually 600-1000 Hong Kong dollars once, and the cost of X-ray ECG is higher, usually from 1000 Hong Kong dollars.
The cost of a bed in a general ward is about 1,000 Hong Kong dollars, a night in a semi-private room is about 2,300 Hong Kong dollars, and a night in a private room ranges from 4,000-6,000 Hong Kong dollars.
That's all, not including prescribing medicine, the illness is not cured, and your money has been spent like running water.
Come on, dear readers and friends, do you still think it is cheaper to go abroad or go to Xiangjiang in my country to see a doctor?
When it comes to hospital fees, there is another one that is most criticized by the people in China, that is, "emergency".
There are often media publications, such as a person who can't get money because of a sudden illness, and then the hospital refuses to treat him, and he dies.
Let's not talk about whether this is true or not, you can think about it again, why did the hospital refuse to diagnose? Because the hospital can't collect money, right?
So if you can't help but think a little deeper, there are emergency patients, or patients who are in a coma and can't provide identification, who should bear the rescue costs of these people?
In foreign countries, it is borne by the state or welfare institutions, and although your hospital saves it, someone pays for it, so that your doctor has no worries.
But in China, it is the hospital or the doctor who pays for it personally.
It is equivalent to rescuing for half a day, and the cost has generated a lot, and in the end the doctor not only has to save your life, but also pays for it personally, which doctor do you say has so much money and pays for strangers all day long?
So this is a foreign doctor with high moral character, and a domestic doctor with too black a heart?
Of course, there is also a very important and unsolvable drawback of the medical system abroad, that is, it is not efficient.
It is impossible for a patient in China to run to a tertiary hospital for a common cold, and to go to the emergency department at night.
If you go to a big hospital without an appointment, people won't bird you.
Some people will say, NND, Lao Tzu has a fever, you dare not show me in the hospital? Beware of me hammering your doctor's head and smashing your hospital.
The consequence of this is that you will go to jail, you will be fined heavily, and you will be left with a lifelong credit stain, and no one will hire you again.
Seeing a doctor abroad is just one word: "wait"!
Unless it is an emergency, you usually have to contact your family doctor or community doctor in advance for any illness, and this can be as short as a day or two, or as long as a week.
If the community doctor thinks he can handle it, he will deal with it, and if he thinks he can't handle it, he will issue a transfer order to you, and then you will go to a specialized hospital for examination and treatment, and the process is still "waiting"!
It can be as short as a week, as long as months, anyway, you wait slowly.
If you're just suffering from a minor illness like a common cold, by the time your appointment comes, you may have recovered yourself.
And if your family doctor works closely with the insurance company, you don't think I have to pay much anyway, I want to have a blood test and a film to do a full test.
I'm sorry, but it's even entirely possible that the doctor refused, and it was even entirely possible not to dispense you with medicine, telling you that a cold is self-healing.
What if you can't get angry, or can't wait? As long as you have money, you can go to a private hospital, and a pneumonia can send you tens of thousands of dollars in bills, do you dare to go?
In China, it is very common for a doctor to visit more than 100 clinics a day, and it will never happen abroad.
Foreign doctors are drinking coffee and chatting at work, and there may be a few outpatients a day, or a dozen, and they are by appointment, and they will never give patients a temporary plus.
Of course, when you go to the doctor, the doctor has a very good attitude and is very careful, asking questions, and tirelessly, because people have time, and it is normal to spend an hour to see a doctor.
In China, your doctor dares to spend 1 hour seeing a patient in the outpatient clinic???
Believe it or not, a patient in the back of the queue can blow your doctor's head off? Or just shout and shout and complain!
Foreign doctors don't have to worry about income at all, the registration fee for seeing a patient alone is 100 or even hundreds of dollars, and the bill sent to your patient's home is thousands or tens of thousands of dollars after a diagnosis and treatment.
That's why doctors can work with peace of mind, see patients with peace of mind, engage in scientific research with peace of mind, and then a lot of Nobel laureates.
Back to Chen Qi in 1984, what can Chen Qi do?
As the executive vice president in charge of clinical and business, whether the hospital can survive and whether the medical staff can pay salaries and subsidies normally must be earned by themselves.
The state has no funds for financial difficulties, and there are no insurance companies to pay for the sick, so the wool can only come out of the sheep.
Patients are always the most at a loss, because most of them can only pay for themselves, and medical insurance is only available to a few people, and a serious illness can bring the whole family back into poverty.
Similarly, domestic doctors are the most tired.
As soon as the foreign counterparts are sent to see the sick bill, they will have nothing to do, drinking coffee and waiting for the number on the salary card to increase.
However, domestic doctors have to do business like a business, constantly doing business, trying their best to make more money from patients, and also guarding against the sudden crit of the patient's family, and finally the white knife goes in and the red knife comes out.
What Chen Qi can do is to let the patient spend money at the same time, let the patient be cured as soon as possible, solve the pain, and spend money worthwhile.
At the same time, it is also necessary to form a good learning atmosphere in the whole hospital, and no longer get by like before, and see a doctor perfunctory.
When Dean Chen was still in the headache business here, at this time, there was also a professor in the Third Hospital of Beijing Medical College, the distant capital, who had a headache with an invitation.
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